Is there a national shortage of Nurse Practitioners who are willing to precept? I am finding it very difficult to find a preceptor, MD's are very quick to offer what they have, unfortunately as a NP student I have to have a FNP/NP for at least 50% of my 704 hrs. As Nurses/NPs we are asking and fighting for autonomy but not willing to help train more NPs to fight this cause. It is so easy for PA's to have their rotations lined up for them but can not do that for nursing? I am seeing more and more schools (Not just online schools) shifting that responsibility onto students. I love my school, great state school; but this issue of finding preceptors on our own bothers me, and they tell you today, when school starts in 10 days. However, if we are unable to find one, then "the school will step in". I just don't get it! I taught undergrad was difficult with unreasonable demands, but graduate school too? Are nurses in a way still eating their young? or now they are just putting hot sauce on it!
I hate to say it but to me, it boils down to the loose standards the nurse practitioner field has created. There are so many NP programs with multiple formats (campus based, online, combination of both), dual entry models (direct entry, traditional), multiple certification boards competing against each other (ANCC, AANP, AACN, PNCB, NCC), disagreement over entry degree requirement (MSN vs DNP), a separate organization for NP faculty that is not a regulatory or accrediting board (NONPF), and an accrediting body that has no exclusive interest in the NP field (AACN). The result is a group of disconnected entities with their own separate agendas none of which involves creating a seamless, consistent, and rigorous training program for future NP's. Come on, the best we could come up with is a so-called Consensus Model that ironically does not reflect a consensus across NP's in clinical practice but rather a statement of meeting minutes from an agenda created by non-clinical leaders of disconnected organizations who could care less about improving clinical practice.
Currently, NP preceptors are unpaid, volunteer faculty. Some faculty members in any given university may have dual appointments as faculty and clinician in a clinical area of practice and may precept but I have not known of any program where preceptors receive separate compensation for precepting from the educational institution that is housing the NP program. There is no incentive to precept other than being granted credit toward recertification. Precepting takes effort and it adds the burden of taking extra time to provide teaching in addition to the typical patient care activities NP's already engage in. As a result, it is typically the well-established universities with long-standing affiliations with teaching hospitals and medical centers who have the ability to arrange clinical rotations for its NP students. I work for an academic medical center where the NP's on staff like myself are expected to precept students from the NP program the medical center is affiliated with. That does make it easy for the students in our university but others in different programs certainly suffer.
Last edit by juan de la cruz on Jan 8, '12